77 Ill. Adm. Code 950.230
Application
Section 950
Section 950.230Â Application
a)Â Â Â Â Â Â Â Â The Department shall provide a written application,
instructions, and forms to potential or requesting applicants. In addition to
other items required in this Part, the Department shall request at least the
following items in the application:
1)Â Â Â Â Â Â Â Â The name, address, and telephone, facsimile, and
teletypewriter numbers of the applicant and principal investigator.
2)Â Â Â Â Â Â Â Â The name, address, and telephone, facsimile, and
teletypewriter numbers of the entity through which the application is being
submitted.
3)Â Â Â Â Â Â Â Â The curriculum vitae of the principal investigator.
4)Â Â Â Â Â Â Â Â The Social Security Number, Taxpayer Identification Number, or
the Governmental Unit Code assigned by the State Comptroller.
5)Â Â Â Â Â Â Â Â The signature of principal investigator or agency official
authorized to certify the application.
6)Â Â Â Â Â Â Â Â A statement of whether funds are being requested for a
fellowship or a general award.
7)Â Â Â Â Â Â Â Â A statement of the research question, hypothesis,
intervention, or model program on which the research will be based.
8)Â Â Â Â Â Â Â Â A detailed budget for the funding period, documenting
sufficient resources to carry out the project. The budget shall be by line
item category and shall provide sufficient detail to justify the use of grant
funds to support project activities. The applicant shall indicate the total
cost of conducting the project, the anticipated funding request, if applicable,
for years 2 and 3 of the project, the source of other funds supporting the
project, and the amount of support requested from the Department.
9)Â Â Â Â Â Â Â Â A one-page non-technical abstract that describes the
significance of the applicant's project concerning prostate cancer.
10)Â Â Â Â Â Â Â Â For each objective proposed for the first year of the
project, a sequential listing of activities to achieve the objective, the
timeline for completing each activity, and the identification of the individual
responsible for coordinating the implementation of each objective.
11)Â Â Â Â Â Â Â Â An approximate timetable for completion of the entire
project.
12)Â Â Â Â Â Â Â Â A prioritized listing of measurable objectives for the
funding period.
13)Â Â Â Â Â Â Â Â The evaluation methods to be used to measure progress in
achieving objectives and a plan for monitoring the overall project.
14)Â Â Â Â Â Â Â Â A signed statement of assurances indicating compliance with
applicable State and federal statute and regulations.
15)Â Â Â Â Â Â Â Â A statement of approval by an institutional review board for
research involving human subjects.
b)Â Â Â Â Â Â Â Â If the funds are being requested to support a fellowship, then
the following information shall be provided in addition to the information
required in subsection (a):
1)Â Â Â Â Â Â Â Â The name of the individual to be supported through the
fellowship.
2)Â Â Â Â Â Â Â Â The curriculum vitae of the individual.
3)Â Â Â Â Â Â Â Â At least one letter of recommendation from the principal
investigator or agency official authorized to certify the application.
c)Â Â Â Â Â Â Â Â Continuation applications shall contain the information
required under subsection (a) and shall include at least the following
additional items:
1)Â Â Â Â Â Â Â Â A progress report of the status of each project activity to
date, under the evaluation methods and monitoring plan specified in Sections
950.240 and 950.260.
2)Â Â Â Â Â Â Â Â The project objectives for the new grant year, along with
activities and timelines for completion of each activity.
3)Â Â Â Â Â Â Â Â The revisions in the evaluation methods or the monitoring
plan, with the reasons for the revisions.
4)Â Â Â Â Â Â Â Â A budget and expense listing for the previous grant.